| Delayed Onset Purtscher's Retinopathy with Serous Retinal Detachment after Trauma in a Retinitis Pigmentosa. |
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Han Song, Ji Sang Han, Ji Ho Yang, Do Gyun Kim |
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Department of Ophthalmology, Myongji Hospital, Seonam University College of Medicine, Goyang, Korea. kimdk89@empas.com |
| 망막색소변성환자에서 외상 후 발생한 장액망막박리를 동반하는 지연 발현 푸르처망막병증 1예 |
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송 한⋅한지상⋅양지호⋅김도균 |
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서남대학교 의과대학 명지병원 안과학교실 |
Correspondence:
Do Gyun Kim,
Email: kimdk89@empas.com
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Received: 2 May 2017 • Revised: 6 July 2017 • Accepted: 19 October 2017 |
| Abstract |
PURPOSE
To report a case of Purtscher's retinopathy accompanied by serous retinal detachment in a patient with retinitis pigmentosa (RP) who was referred to us for treatment of post-traumatic visual discomfort. CASE SUMMARY: A 36-year-old man with history of RP was referred to us with the chief complaint of bilateral visual discomfort after chest injury from a traffic accident. His corrected visual acuity was 0.3 and 0.6 in the right and left eyes, respectively. Fundus examination revealed findings characteristic of RP in both eyes, along with a lesion in the right eye, which was suspected to be a serous elevation of the macula, as well as suspected exudates near the optic nerves. Optical coherence tomography indicated serous retinal detachment in the right eye, and fluorescein angiography findings were characteristic of RP. Seven days later, the amount of cotton-wool exudate in the right eye had increased and was more distinct than at the initial examination, and retinal hemorrhage was observed. Based on the medical history and specific fundus findings, the patient was diagnosed with Purtscher's retinopathy. One month later, the serous retinal detachment in the right eye had improved, but the vision loss and total anopsia in the right eye persisted. CONCLUSIONS: The concomitant occurrence of RP and Purtscher's retinopathy is very rare. Moreover, the presence of accompanying serous retinal detachment and delayed onset of typical clinical symptoms are not present in typical Purtscher's retinopathy. |
| Key Words:
Purtscher's retinopathy;Retinitis pigmentosa;Serous retinal detachment |
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